| NPI | 1902072408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE THERESA CHA-CAMP Dentist 301-537-6192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 13607) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |